MVP DualAccess Member Webinar Presentation

MattLeap1 281 views 27 slides Jul 12, 2024
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About This Presentation


Slide Content

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Welcome Members!
July 2024

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
MeetYourPresenters
Kimberly Yerdon, MVPMedicareAdvisor
JamieBond-King,MVPCareTeamLeader

©2021 MVP Health Care
•Meet members of the MVP Care Team and learn about the things
they can help with
What We’ll Discuss Today
MVP Care Team
Extra Benefits
•Medicare Part D Coverage
•OTC Benefit
•Be Well Rewards
•Dental, Eyewear, Hearing and
Transportation Benefits
•Well-Being Extras
Resources •Available at mvphealthcare.com/DualAccessSupport

©2021 MVP Health Care
All the resources discussed and a recording of this presentation
can be found at:
mvphealthcare.com/DualAccessSupport

©2021 MVP Health Care
Meet Your MVP Care Team
5©2021 MVP HEALTH CARE, INC.

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Your MVP Care Team members are dedicated to ensure your needs are met. Each MVP Care Team includes:
•A Registered Nurse Care Manager (RNCM)
•A Community Service Care Coordinator (CSCC)
•A Licensed Clinical Social Worker (LCSW).
Meet Your Care Team: Experts By Your Side

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Creating a care plan to meet your health goals:
•Within your first two months as an MVP DualAccess member, you will work with
your Care Team and doctors to create a health care plan
•Themembers of your Care Team will reach out on aregular basis or can visit your
home directly to help you complete the steps of your care plan.
Meet Your Care Team: Personalized Care Plan

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Get help with:
•Understanding your benefits
•Scheduling appointments
•Arranging transportation to and from appointments
•Creating a personalized care plan
•Accessing the services, equipment, and supplies you need
•And more!
Meet Your Care Team: Consistent Support

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Gia
®
, Access Your Way

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
With Gia and Gia by MVP, you’ve got a guide
to your health and your health plan
•Gia online connects you to your health plan
with access to your MVPID cards, plan
documents, and claims. Search our wide
network of providers
•Use Gia by MVP for all of that and to
connect with adoctor in minutes for
$0 virtual care services, available 24/7
10
Access Your Plan Details
Access Gia online on
your computer or on
your phone in the
Gia by MVP mobile app
MVP virtual care services through Gia are available at no cost-share for most
members. In-person visits and referrals are subject to cost-share per plan.

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Step 1
Open the Gia app and select Virtual Care
Step 2
Select the virtual care option that makes sense for you:
Urgent Care
•When you are sick and need care urgently, Gia can help or send an ambulance to make
sure you get to the emergency room if needed. If you have a life-threatening emergency,
please dial 911.
Everyday Health Care
•Have a visit with a primary care provider or specialist, request a medication or refill, get
help managing conditions like asthma, anxiety, diabetes, depression, heart disease,
COPD
Behavioral Health Care
•For ongoing therapy and medication management to help support moderate-to-severe
conditions like anxiety, depression, trauma, or addiction, our virtual care partner,
myVisitNow, lets you speak with a behavioral health professional online
Access the Care You Need
Some virtual care options are only available for members 18 and older

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
To create a new account, click or tap Register Now, then follow the instructions to set up
your account.
•Create one account to access Gia online and in the Gia by MVP mobile app
•You’ll need to enter some information exactly as it appears on your
MVP Member ID card to set up your account
•A valid email address is required to set up your account, or sign-in using your
Google, Facebook, or Apple profile
•Once you’re set up, sign in fast with optional fingerprint or facial recognition
12
Get started with Gia
Sign in Online
•Visit my.mvphealthcare.com
Download the Gia Mobile App
•Visit mvphealthcare.com/GetGia, or
•Scan the code below using the camera
on your mobile device, or
•Search for Gia by MVP in the App Store
®

or Google Play

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Your Member Guide includes your Evidence of
Coverage (EOC), which has detailed information about
your health insurance benefits and how to use them.
You can find a copy of your Member Guide in Gia
online.
If you have more questions, call your MVP Care
Team at1-866-954-1872 (TTY 711).
Representatives are availableseven days a week,
8 am–8 pm Eastern Time, from October 1–March 31.
From April 1–September 30, representatives are
available Monday–Friday, 8 am–8 pm, Eastern Time.
Find Plan Details in Your Member Guide

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Extra Benefits & Part D

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
•With your plan, you have no cost-share and no deductible for prescription drugs
covered by Medicare Part D.
•The MVP DualAccess(HMO D-SNP) Medicare Part D Formulary is a list of all
covered prescriptions, and any requirements or limits associated with a drug.
15
Medicare Part D Coverage

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Visit mvphealthcare.com/PartD to:
•View the Formulary
•Watch a video about how
the Formulary works
•Find local pharmacies and mail-order options
If you have questions about prescription drugs,
call your MVP Care Team at1-866-954-1872
(TTY 711).
Representatives are availableseven days a week,
8 am–8 pm Eastern Time, from October 1–March
31. From April 1–September 30, representatives
are available Monday–Friday, 8 am–8 pm,
Eastern Time.
16
Medicare Part D Formulary

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
What is a Medicare Annual Wellness Visit?
•A yearly check-up that is fully covered by
your MVP health plan where your Primary
Care Provider willoffer advice that helps
you maintain or improve your health!
17
$0 Medicare Annual Wellness Visit
This visit with your PCP is
one of the best ways to take
charge of your health.
You and your PCP will:
•Talk about your overall
health
•Discuss your health goals
and risk factors
•Plan for screenings and
immunizations
Need help scheduling your
Medicare
Annual Wellness Visits?
Call your MVP Care Team
at 1-866-954-1872

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
We heard you!
New in 2024, your plan has Be Well
Rewards. After you complete your
Annual Wellness Visit, you’ll earn a
$100 reward card.
Yes, only one activity—it’s that simple!
Earn Rewards for Medicare Annual Wellness Visit
The information presented does not constitute medical advice. Please consult your health care provider for direct medical attention.

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Access Your Be Well Rewards Homepage
1.Sign in to Gia
®
at my.mvphealthcare.com—
Under Important Links select Be Well Rewards
2.Once you are on the Be Well Rewards
page, check to see if your Annual Wellness
Visit claim has been processed (Activity
Completed)
3.Once you see “Activity Completed”,
select the REDEEM button and the site
will prompt you through choosing your
preferred reward card
Redeeming your $100 Reward Card is easy!
The information presented does not constitute medical advice. Please consult your health care provider for direct medical attention.

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
20
Over The Counter (OTC) & Grocery Benefits
Your grocery allowance is a
monthly benefit. Use it by the end
of every month so you don’t lose it!
Use Your Grocery Benefit for:
• Bread and cereal
• Eggs
• Fresh fruits and vegetables
• Meat, fish, and poultry
• Milk, cheese, butter, and yogurt
• Nuts and seeds
Your OTC allowance is a quarterly
benefit. Use it by the end of March,
June, September, and December so
you don’t lose it!
Use Your OTC Benefit for:
• Allergy and cold/flu medicine​
• Aspirin, pain relievers, Band Aids
®
• Ear drops and eye wash​
• Incontinence products​
• Oral care products​
• Vitamins and supplements
Call a member of your MVP Care Team for more information about this benefit
or visit mvphealthcare.com/DualAccessSupport.

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
21
Dental Hearing and Vision Benefits
Dental Coverage
•MVP partners with Healthplex Dental Plans to provide your dental benefits.
•$2,000allowance per year to pay for dental costs
Hearing Coverage
•Up to $2,000 every three years to pay for hearing aids
•MVP partners with TruHearing to provide your hearing benefits.
Eyewear Coverage
•$200 annual allowance for eyeglasses and contacts

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Transportation
•MVP partners with American Logistics to
provide rides to and from non-emergency
medical appointments, the dentist, and
the pharmacy at no cost to you!
•You get36 rideseach year.
•Options forthose who require wheelchair
accessible vehicles
•Door-to-door service for help inand out
of the vehicle
For questions about your
transportation benefit or
forassistance scheduling
rides contact your MVP Care
Team

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
SilverSneakers
®
membership
allows you to visit a variety of fitness
locations nationwide or join online
virtual classes from home
GetSetUp access gives you access
to a live online social learning
community
Visit mvphealthcare.com/
SilverSneakers to get started!
23
Living Well Programs arewell-being
initiatives,educational opportunities,
and supportive resourcesthat
empower andmotivate MVP
members. These opportunities are
offered both in-person and virtually:
•Fitness Classes
•Educational Seminars
•Unique Experiences
To find and register for classes, visit
mvphealthcare.com/calendar!
Focus on your Well-Being!

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
If you have questions about any of the benefits in your MVP DualAccess plan,
the MVP Care Team is your one stop shop! Your care team can help you:
Answer questions about your benefits
Access your benefits
Help coordinate benefits/services for you
And more!
Questions?
Call your MVP Care Team
at 1-866-954-1872

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Thank you for joining us!
mvphealthcare.com/DualAccessSupport
Questions?
Call your MVP Care Teamat1-866-954-1872

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
The MVP DualAccess plan is available in the following New York counties: Albany, Columbia, Dutchess, Greene, Monroe, Orange, Putnam, Rensselaer,
Rockland, Saratoga, Schenectady, Sullivan, Ulster, and Westchester.
MVP Health Plan, Inc. is an HMO-POS/PPO/HMO D-SNP organization with a Medicare contract and a contract with the New York State Medicaid
program.Enrollment in MVP Health Plan depends on contract renewal. This plan is a dual eligible special needs plan (D-SNP). Your ability to enroll will
be based on verification that you are entitled to both Medicare and medical assistance from a state plan under Medicaid.
Out-of-network/non-contracted providers are under no obligation to treat MVP Health Plan members, except in emergency situations. Please call our
customerservice number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
For accommodations of persons with special needs at meetings, call 1-800-324-3899 (TTY 711).
MVP virtual care services through Gia are available at no cost-share for most members. In-person visits and referrals are subject to cost-share per plan.
SilverSneakers is a registered trademark of Tivity Health, Inc. SilverSneakers On-Demand is a trademark of Tivity Health, Inc. © 2022 Tivity Health, Inc.
GetSetUp is a third-party provider and is not owned or operated by Tivity Health, Inc. ("Tivity") or its affiliates. Users must have internet service to access
online services. Internet service charges are responsibility of user. All rights reserved.
MVP Health Care complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or
sex (including sexual orientation and gender identity).
ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-946-8010 (TTY 711).
注意:如果您使用繁體中文 ,您可以免費獲得語言援助服務 。請致電 1-844-946-8010 (TTY 711).
Y0051_9652_M
Disclaimers

CONFIDENTIAL & PROPRIETARY INFORMATION.
©2024 MVP Health Care. All Rights Reserved.
Important Contact Information
Website Phone Number Hours to Call
MVP Health Care mvphealthcare.com
1-800-665-7924
(TTY 711)
October 1-March 31, seven days a week, 8 am–8 pm
April 1–September 30, Monday-Friday, 8 am–8 pm
TruHearing
(Hearing Aids)
mvphealthcare.com/
TruHearing
1-855-547-9322
(TTY 711)
Monday–Friday, 8 am–8 pm
American Logistics
(Transportation)
1-855-923-4125
(TTY 711)
Monday–Friday, 8 am–5 pm
NationsBenefits
(OTC Card)
MVP.NationsBenefits.com1-855-996-4327
(TTY 711)
Seven days a week, 8 am–8 pm, Eastern Time
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